4Health Magazine #161

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GOING TO YOUR OB-GYN? ASK FOR HEART DISEASE SCREENING

5 COMMON DENTAL PROBLEMS & THEIR SOLUTIONS

WHAT TO EXPECT FROM GALLBLADDER SURGERY

REPORT INDICATES RISE IN MENTAL HEALTH PROBLEMS FOR SENIORS

LIVING WITH CANCER— CHEMO-FEET

VKSKIN SPA

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By Victoria Khabinski

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President, CEO Dmitriy Khabinski Vice President, CFO Igor Goldberg Editors Colleen M. Story Nataly Smolyanska Contributing Writers Colleen M. Story Lynn Merrell Art Director Nadezhda Evgach Advertising Department 212.738.9230 ext. 701 Address: MOO Publishing Corp.

P.O. Box 230181 Brooklyn, NY 11223 E-mail: info@moopublishing.com 4Health Magazine (ISSN 1942-6801) is published monthly by MOO Publishing Corp.Copyright © 2007-2014 by MOO Publishing Corp. All rights reserved.

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TERMS AND CONDITIONS OF USE

“4Health” is an editorial-based medical magazine (the "Magazine") provided by Moo Publishing Corp. and by other sources.

DISCLAIMER This Magazine is for consumer educational use only. Nothing contained in this Magazine is or should be considered, or used, as a substitute for medical advice, diagnosis or treatment. The opinions in this Magazine are here to educate consumers on health care and medical issues that may affect consummers’ daily lives. This Magazine does not constitute the practice of any medical, nursing or other professional health care advice, diagnosis or treatment.

The Magazine advises readers to always seek the advice of a physician or other qualified health care provider with any questions regarding personal health or medical conditions. Never disregard, avoid or delay obtaining medical advice from your doctor or other qualified health care provider because of something you have read in this Magazine. If you have, or

suspect that you may have, a medical problem or condition, please contact a qualified health care professional immediately. If you are in the United States and are experiencing a medical emergency, please dial 911 or call for emergency medical help on the nearest telephone.

WARRANTIES AND LIMITATION OF LIABILITY We do not make any expressed or implied warranties, representations or endorsements of any kind whatsoever with regard to the magazine, or with respect to any information, product, service, merchandise or other material provided in or through the magazine. We do not warrant or guarantee the accuracy, completeness, correctness, timeliness or usefulness of any information, products, services, merchandise or other material provided throughout the magazine. We are not liable to any reader or anyone else for any decision made or action taken based on their reliance upon the information contained in this magazine. www.4health.net ww.4h w.

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4HEALTH | Table Of Content

Going to Your Ob-Gyn? Ask for Heart Disease Screening Women Can Reducce Rissk of Heart Attacck byy Tallkin ng to o the Gyyneecolo ogist

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11 12 5 Common Dental Problems & Their Solutions Addrresss Bad d Breath h, Canker Soress,aand Sen nsitiviity

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Tips and Resources That Can Help

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SPRING INTO GOOD HEALTH!

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BRAIN ANEURYSMS MAY REVEAL THEMSELVES WITH SUBTLE CLUES What to Watch For

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INTRODUCING MESODERM THERAPY from VK Skin Spa

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TAKING CALCIUM ISN’T ENOUGH FOR BONES—YOU MUST MAINTAIN IT Diet Can Affect How Much Calcium Your Body Absorbs

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What to Expect from Gallbladder Surgery

MY CHILD WAS JUST DIAGNOSED WITH TOURETTE SYNDROME

CAN’T LOSE WEIGHT? YOU MAY NEED MORE SLEEP

By Dr. Prab R. Tumpati MD

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DOCTORS AND PATIENTS AREN’T TALKING ABOUT WEIGHT Why You Need Your Doctor’s Help, and How to Start the Conversation

Common Proceedure Provvid des Relieef to Manyy Patiien nts

18 Report Indicates Rise in Mental Health Problems for Seniors Learn to o Reccognizze the Signs

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DIABETES INCREASES RISK OF CATARACTS, GLAUCOMA, AND BLINDNESS What to Do to Retain Your Sight as You Age

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WHAT IS ADDICTION? Getting Help For Yourself or Loved Ones

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DEFY YOUR AGE WITH A SIMPLE EYE PROCEDURE Eye-Lift Surgery Results in Overall More Youthful Appearance

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STUDY FINDS WOMEN HAPPY AFTER BREAST REDUCTION SURGERY Physical and Psychological Benefits Reported

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SORE LEGS AND FEET—A SIGN OF SERIOUS HEALTH PROBLEMS? USA Vein Clinics on a Non-Invasive Treatment

Living with Cancer— Chemo-Feet

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ANCIENT THERAPY GAINING NEW POPULARITY IN WESTERN MEDICINE Ada Kulagina L.Ac. Answers Your Questions About Acupuncture

Hand an nd Fo oot Syynd dro ome, Nervee Dam mage, and Skkin n Prrobllem ms

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MY CHILD WAS JUST DIAGNOSED WITH TOURETTE SYNDROME TIPS AND RESOURCES THAT CAN HELP ■■■

Colleen M. Story y

“My ten-year-old son was just diagnosed with Tourette,” writes one concerned mother.

“Is anyone out there dealing with this?”

“I was wondering if anyone’s child with Tourette Syndrome is having behavioral problems and trouble in school?” writes another.

“My son was diagnosed at age nine,” writes a third, “and we’ve been through school difficulties, medication side effects, and more.”

A diagnosis of Tourette Syndrome (TS) can be a very scary thing for a parent. The more you know about the condition, however, the better you and your family will be able to handle it. Over time, you will likely face challenges, but you’ll also become more confident in your ability to meet them. Here’s a quick overview to get you started, as well as some tips to get you started on your new journey.

WHAT IS TOURETTE SYNDROME? Tourette Syndrome is a neurological disorder that affects the central nervous system. It causes so-called “tics,” or repetitive, involuntary movements and vocalizations. Common examples include eye blinking, facial grimaces, shoulder shrugging, jerking of the head, throat clearing, sniffing, grunting, or a combination of some of these. In more rare cases, people may punch themselves or utter inappropriate words. Sometimes the tics come and go in cycles, becoming more frequent at times, and then fading away at other times.

Signs of TS often show up in children between the ages of seven and 10, though symptoms may show up much earlier, even during toddlerhood. Boys are affected three to four times more often than girls, and often have more severe symptoms than girls.

Symptoms may be at their worst during the adolescent years, with many people experiencing improvements as they grow into young adults. Only about 10-15 percent of people have progressive TS that continues into adulthood.

In many cases, TS may be associated with other problems, like attention deficit hyperactivity disorder (ADHD) or obsessive-compulsive disorder (OCD), though scientists aren’t sure why.

WHAT CAUSES TS? Doctors don’t yet know what causes TS, but they do know it has something to do with certain parts of the brain that don’t act normally.

The circuits that connect different regions of the brain don’t communicate effectively, causing “misfires” that result in tics. The disorder has a genetic connection, in that parents who have TS may pass it on to their children.

Children diagnosed with TS may also have problems with reading, writing, math, and anxiety, which is why it’s important for parents to become as knowledgeable as they can about the condition to help children cope in all areas of their lives. TS does not affect IQ, however, and most people with the condition are able to hold jobs and lead full lives.

HOW IS TS TREATED? So far, there is no cure for TS. Most people have only mild symptoms, and therefore aren’t prescribed medications. Those with more severe tics may benefit from drugs, though the benefits and risks have to be weighed against one another. Side effects may include depression, drowsiness, fatigue, and weight gain.

If medications provide only a partial solution, and there is no cure, what is a parent to do? Many doctors recommend psychotherapy, as it can help children and families cope with the difficulties that arise because of TS. Cognitive behavioral therapy can also help children recognize and control their tics, at least some of the time.

Cedars-Sinai also recommends trying other alternative therapies like biofeedback, hypnosis, and relaxation therapy, to help children gain an increased awareness of their body and potentially to learn to calm themselves down. Since tics are more likely to occur during stressful periods, these techniques can help reduce their occurrence.

For more information and help from other parents, consider joining an online forum like the “Tourette Syndrome Forum” (tourettesyndrome.ca/) or the “Tourette Syndrome Message Boards Forums” (tourettesyndromenowwhat.yuku.com/).

TSParentsOnline runs a blog for parents of kids with TS who want to share and connect (njcts.org/tsparents/). www.4health.net ww.4h w.

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Natalie Hanukov, PharmD

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BRAIN ANEURYSMS MAY REVEAL THEMSELVES WITH SUBTLE CLUES WHAT TO WATCH FOR ■■■ Colleen M. Storyy In the overall scheme of things, most people probably don’t worry too much about having an aneurism. Yet according to the Brain Aneurysm Foundation, an estimated one in 50 people have an unruptured brain aneurysm, with one of them rupturing about every 18 minutes. These ruptures are fatal about 40 percent of the time. Of those who pull through, about two-thirds suffer some permanent brain damage.

Albert Einstein died of an aneurysm in 1955. Singer Laura Branigan was only 47 years old when an aneurysm killed her in her sleep.

In 2013, singer Bruno Mars’ mother was said to have passed away unexpectedly of a brain aneurysm. Fortunately, an aneurysm isn’t always a death sentence, especially if it can be caught before it ruptures.

But how, exactly, do you detect an aneurysm?

WHAT IS AN ANEURYSM? In general, an aneurysm is a swollen artery that has been weakened or damaged. The swelling or bulging occurs in the weakened area. As blood pressure builds up in the artery, it can gradually balloon out. The bigger it gets, the more the risk of rupture, when the vessel actually breaks open and blood spills out. If this happens in the brain, it’s very dangerous, as it can lead to brain damage and sudden death.

An aneurysm can occur anywhere in the body, however, as the arteries circulate throughout the system. The most common brain aneurysms occur at the base of the skull, in the artery that supplies the brain with oxygen-rich blood. It may also occur in the aorta — the artery that carries oxygen-rich blood from the heart out to the rest of the body — in the chest or in the abdomen.

WHAT CAUSES ANEURYSMS? People who have a family history of aneurysms may be more at risk for them, as are those who have high blood pressure or atherosclerosis (hardening of the arteries). Other risk factors include smoking (which has been found to contribute to the growth of aneurysms) and gender, as women are more likely to have them than men.

Most aneurysms cause no symptoms, which is why they can be so surprising and deadly when they do rupture. If they are discovered early, it’s usually via health tests performed for other reasons. CT scans, X-rays, MRA scans, and a cerebral angiogram, for example, may all detect an aneurysm.

Sometimes, individuals will suffer from headaches, blurred vision, neck pain, and changes in speech, which may indicate a bulging artery pressing on the brain. These symptoms should be checked by a doctor

right away, especially if one has other risk factors.

When a rupture does occur, signs include nausea and vomiting, fainting, seizures, neck pain, and a sudden, severe headache.

OTHER SIGNS? Considering the few symptoms of an aneurysm, are there other ways an individual might be able to tell that he or she may have one? According to Dr. Lawrence K. Altman, writing in The New York Times, the name of the game is “subtlety.”

“If doctors can spot the clues and act quickly,” he writes, “they can repair the aneurysm before it breaks.”

Some subtle clues to watch out for — recurrent neck pain, a stiff neck, and nausea and vomiting. Headaches are usually intense, and often described as the “worst headache ever” experienced.

You may experience pain behind the eye, weakness on one side of the face, and vision changes. Sensitivity to light, and a change in level of awareness are other clues. All these symptoms may also be signs of migraines, viral infections, or sinusitis, so if you experience them, don’t assume an aneurysm is to blame. But if you experience several of these symptoms together and you feel something is just “off ”—especially if you have other risk factors — be sure to express your concerns to your doctor. www.4health.net ww.4h w.

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GOING TO YOUR OB-GYN? ASK FOR HEART DISEASE SCREENING WOMEN CAN REDUCE RISK OF HEART ATTACK BY TALKING TO THE GYNECOLOGIST ■■■ Colleen M. Storyy Have you talked to your gynecologist about heart disease? It may seem like an odd question, but according to a recent study, your obgyn may be the perfect person to talk to about not only your reproductive health, but your cardiovascular health, as well.

WHY THE GYNECOLOGIST? According to research published at the American College of Cardiology’s 2013 Annual Scientific Session, a lot of women don’t see their primary doctor on a yearly basis.

They do, however, see their gynecologist.

Scientists surveyed nearly 500 women at five different clinics in Bronx, New York. They found that among those women aged 18 to 40, over half reported seeing only their ob-gyn on an annual basis. That means they’re likely not being screened for heart disease, which is the number-one killer of women, and a serious risk during pregnancy. In fact, according to Mary Rosser, M.D., assistant professor at the Albert Einstein College of Medicine of Yeshiva University, conditions like preeclampsia, gestational hypertension and gestational diabetes all increase the lifetime risk of heart disease by as much as four times.

Though your gynecologist is not the person to treat you for heart disease, he or she can definitely perform a cholesterol and blood pressure test, and refer you to a cardiologist if necessary. If you see no other doctor during the year, it is worth it to ask your ob-gyn for screening.

MOUNT SINAI MEDICAL CENTER FINDS SIMILAR RESULTS An earlier study suggested the same thing. Researchers from Mount Sinai Medical Center in New York City asked 10 obgyn clinics to put a screening program in place that would identify women at risk for heart disease. For two years, these programs did just that. Over 2,000 women completed a survey on traditional and gestational heart disease, and those who had never been screened had their blood pressure taken.

Results of the study showed that nearly three quarters of the women screened were at risk for heart disease. Nearly half already had symptoms, and 18 percent considered their gynecologist as their primary health care provider.

Even more concerning is the fact that many of the women in the study had never been

checked for things like high blood pressure, high cholesterol, or high blood sugar. As a result of the screenings, a quarter were referred to another physician for heart disease treatment. If these women had not been screened, they would have continued living with heart disease without being aware of it, which could have led to traumatic consequences down the road.

“Ob/gyn practices have an incredible opportunity to make an impact on heart disease in women by screening, educating, and directing women to the right providers,” said the study’s lead author, Dr. Roxana Mehran.

FOR YOUR NEXT VISIT The next time you go to see your gynecologist, don’t wait for him or her to bring up heart disease screening. Ask yourself. It takes only a minute to do a simple blood pressure check, or to take some blood to check for high cholesterol and high blood sugar. Catching these things early gives you a much better prognosis for the future than if you wait and then suffer a heat attack down the line. If your ob-gyn is your main doctor, make sure you get all the benefits you need from your visit! www.4health.net ww.4h w.

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5 COMMON DENTAL PROBLEMS & THEIR SOLUTIONS ADDRESS BAD BREATH, CANKER SORES, A AND SENSITIVITY

y Merrell ■■■ Lynn

You brush your teeth twice a day. You probably even floss regularly. But you still have bad breath, or bleeding gums, or mouth sores.

What gives?

Here are a few of the more common dental problems that plague most people at one time or another, and what you can do to fix them. Be sure to see your dentist on a yearly basis to prevent any more serious oral health issues.

Bad breath: Even if you brush your teeth regularly, you may still have bad breath. First, be sure you’re flossing. Tiny food particles trapped between teeth can attract bacteria and cause odor. Next, be sure you’re brushing your tongue. It’s another place where bacteria gather, and they can stick there if you don’t dislodge them. If you are regularly flossing and brushing your tongue, however, and you still have this problem, you may have other issues, such as dry mouth, a cavity, gum disease, or even post-nasal drip. Check with your dentist, as there are oral rinses that can help dry mouth, and treatment to help gum disease and cavities. If post-nasal drip is the issue, an antihistamine or decongestant may help.

Another potential solution for bad breath on the go—place a couple drops of tea tree oil or peppermint oil on your tongue, or use the oils on your toothbrush.

Dry mouth: Saliva serves a protective role in your mouth. It is constantly bathing teeth and gums, helping to rinse away bacteria and keep tissues moist. Some people, however, suffer from dry mouth, in which there is a shortage of saliva. This can be caused by medical treatments or medications, or by diseases like diabetes, HIV/AIDS, hypertension, rheumatoid arthritis, stroke, and more. Take water with you and sip regularly, and try sucking on sugar-free candy to stimulate saliva production. Ask your dentist about rinses and artificial saliva substitutes.

Canker sores: These typically appear inside the mouth. Also called “canker sores,” they are actually small ulcers in the tissue. Though mostly harmless, they can be very painful and unpleasant. They usually show up after you eat certain acidic foods, or when you’re feeling run down and your immune system is challenged. A nutrient deficiency (such as not enough vitamin B, zinc, or iron), biting your cheek, or going through hormonal shifts during menstruation, can also trigger them.

Avoid foods that trigger the sores, make sure you’re getting a balanced diet, and keep your immune system strong with lots of rest and regular exercise. Once you have a sore, it may help to rinse with some of the over-the-counter rinse products created for mouth sores.

Topical pastes can help relieve pain, but a bit of zinc and astragulas may be your best bet, as

both help boost the immune system so your body can heal itself.

Cold sores: These are different from canker sores, as they are most likely caused by the herpes virus and are contagious by direct contact. They usually form on the lips and outside of the mouth, though they can sometimes appear on the gums or the roof of the mouth. Like canker sores, they may appear during times or stress or hormonal imbalance. There is no cure, but your doctor may be able to prescribe anti-viral creams or pills that will help them heal more quickly. Overthe-counter creams can help soothe the pain.

Tooth sensitivity: Many people suffer from this one. Eat something hot or cold and your mouth erupts in pain. Usually, this is caused by an exposed root of the tooth. For some reason, the gum has receded a bit, leaving part of the root exposed to fluids, food, and air. Causes include brushing too hard, poor oral hygiene, untreated cavities, cracked teeth, or frequently eating acidic foods or drinking acidic beverages (like soda pop). If you have sensitive teeth, always check with your dentist to be sure you don’t have anything serious like a cracked tooth, decay, or failing filling.

Then, ask about special toothpaste for sensitive teeth. Your dentist can give you brands that have higher concentrations of fluoride, which helps strengthen your teeth and reduce sensitivity. www.4health.net ww.4h w.

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WHAT TO EXPECT FROM GALLBLADDER SURGERY COMMON PROCEDURE PROVIDES RELIEF TO MANY PATIENTS ■■■ Colleen M. Storyy Experts estimate that about 500,000 people go through gallbladder surgery each year, so if you’re facing this treatment, you’re not alone.

According to the New York Times, gallbladder removal is one of the most common surgical procedures, with the purpose of relieving the symptoms of gallstone disease.

You may be wondering what to expect from the surgery. Here’s more about it, and what you can do to increase your odds of feeling much better in the future.

WHY DO DOCTORS PERFORM GALLBLADDER SURGERY? Gallbladder surgery—also called “cholecystectomy”—is performed to remove the gallbladder. A pear-shaped organ beneath the liver on the right side of the abdomen, the gallbladder typically stores “bile” created by the liver and releases it into the small intestine when you eat, to help you digest fatty foods.

Bile is made up of cholesterol, fats, salts, calcium, and waste products, and typically flows through the intestine and out of the body without an issue. In some people, however, these substances sometimes collect and harden into small stones. This may occur because the materials in the gallbladder are out of balance, or because of other factors

like pregnancy, age, obesity, a high cholesterol diet, a family history of gallstones, diabetes, or cholesterol-lowering medications.

If these stones are small, they may pass through without causing any problems. The larger ones, however, can create a lot of pain as they work their way into the digestive system. People who are regularly plagued by gallstones can find relief by the complete removal of the gallbladder.

WHAT IS INVOLVED IN THE SURGERY? The most common way to remove the gallbladder today is via “laparoscopic” surgery.

The laparoscope is a thin, lighted tube with a camera that the doctor inserts into the abdomen via a small incision. It helps him to see inside the body without having to make larger incisions. He then makes other small incisions, and uses medical instruments to cut the gallbladder away from the liver and other tissues and remove it.

This type of surgery is usually recommended because it’s less invasive than open surgery, and allows for a faster recovery. Not all patients are good candidates for it, however, and some will have to undergo open gallbladder surgery, which is essentially the same surgery done through a larger incision so the doctor can see the entire area.

Either surgery usually lasts about two hours or less, during which you will be un-

der general anesthesia, so you won’t remember anything. Most patients leave the hospital the same day or the day after the procedure.

You may experience some nausea or vomiting from the anesthesia or from the gas used to inflate the belly during the procedure. You may also experience some post-operative pain, but your doctor will have pain-relieving medications available for you. Most patients return to their regular activities within a week, though those undergoing open surgery will need a little longer.

LIFE WITHOUT A GALLBLADDER Both of these procedures are considered generally safe with a low risk of complications, but rarely some complications may occur, so be sure to check with your doctor if you have any questions. Be especially careful to follow the nurses’ directions concerning the incisions, as infections in these areas are the most common complications to occur.

Life without a gallbladder is pretty much the same as life with it. Instead of going through the organ, the bile simply moves from the liver into the intestinal tract. Some people may experience bloating and/or diarrhea after eating fatty or spicy foods, but this can be avoided by recognizing your triggers and learning to stay away from them. www.4health.net ww.4h w.

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DIET BUSTERS IN DISGUISE TEN FOODS THAT SEEM HEALTHY, BUT WILL RUIN YOUR DIET ■■■ Colleen M. Storyy Most of us are trying to eat healthier these days, but sometimes it’s not so easy. We grab a salad for lunch thinkingg surelyy that will keep p the calories do own, only to find out later the dressing was drripping in fat. We grab the sugar-free cookiess, but then eat three instead of two, busting ou ur calorie count.

WHAT GIVES? We decided to shed a little light on the trail to good health byy tracking down the ten most common “diett busters in disguise.” Check these out, then n avoid them at your next meal or snack.

1. Caesar Salad: It’s a salad. It’s green. So it’s good for you, right? Well as far as salads go, this one’s the villain of the bunch. It’s piled with calories beecause of the dressing. To lighten this one up, ask for the dressing on the side, or better yet, go o with the house salad.

2. Diet Drinks: Feel proud of yourself for choosing a diett soda? If that means you to order a bigger sizze hamburger or a larger bucket of fries, you may be shooting yourself in the foot. Besides, the diet drink may not satisfy your sugar craaving, leading you to snack on candy bars and d sugary treats later in the day.

You may do beetter with a small regular soda, then keeep the rest of the order small as well. Or better yet, try miilk, water, or flavored seltzerr water.

3. Fruit Smoothies: These foamy drinks come with tons of su ugar (typically around 80 grams), pack at least 3550 calories in a cup, and often don’t have any freesh fruit, particularly if the company uses fruitt concentrate out of a machine.

Ice cream and d sorbet only add more calories and su ugar. Make your own at hom me using real fru uit and low-fat yogurt or milk, or www.4health.ne w.4hea .4 et

if you’re ordering out, ask for fresh fruit only, and choose the small size.

4. Latte’s: Choosing two-percent milk may cut down on calories, but if you add whipped cream,, yyou’re still getting g g over 400 calories and several grams of saturated fat in a 20-oz white-chocolate mocha. Choose regular coffee for your daily pick-me-up, and look on the sweet latte’s as an occasional treat. If you succumb more often, ask for skim milk and pass on the whipped cream.

5. Energy Bars: Most of these come with 300 or more calories (some have 500), but they’re small and leave many people unsatisfied. Don’t expect to fill up on a bar. If you want one for a snack,, choose one that’s 200 calories or less, and make sure it haas some fiber and protein to offset the sugar rrush.

6. Low-Fat Yogurt: It’s full of pro otein, calcium, and those delectable digestivee-boosting bacteria, but many brands are still fu full of sugar, with some adding as many as 300 or more grams. Choose the plain version and d add your own sugar, or mix sweetened yogurt with plain to cut down on the fructose hiit.

7. Breakfast Muffins: They’re qu uick, easy, and tasty, but most are full of callories and sugar, say nothing of the refined flour that will break down fast and leave yo ou with a crash later on. Choose the small ones (no more than 2 1/2” in diameter), and d look for those made with whole-wheat or otther whole grains and fruit.

8. Multigrain: Food manufactureers love to label their products as “multigrain” or “seven grain.” Problem is the food could still be full of refined flour. Check the ingredient listt, and look for “100% whole grain” as the first inggredient.

9. Microwave Popcorn: Many braands cram too much bad fat, including tran ns fat, into each bag. Look at the nutrition facts, and choose the low w-fat kind that has no trans fat. Beetter yet, air pop your own, and use low-salt seasoning blends or Parmesan cheese for extra flaavor.

10. Sweet Tea: In an effort to o cut back on sugarry sodas, some peo ople have turned tto bottled teas. Pro oblem is that manyy of these can contaiin just as much su ugar as a soda. Loo ok for “unsweeten ned” teas flavorred with lem mon, herbs, or artificial sweeeteners to keep p the calories down.

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DIETARY AND SUPPLEMENTAL CALCIUM IS NOT ENOUGH— YOU MUST MAINTAIN IT DIET CAN AFFECT HOW MUCH CALCIUM YOUR BODY ABSORBS

■■■ Marta Tereshchenko, Nutrition Counselor, MS Human Nutrition

Bones are a mineral depository in your body, storing 99% of body calcium, 85% of phosphorus, and 60% of magnesium. One percent of total body calcium is in the blood.

Calcium in the human body is required for functions such as: ■ ■ ■ ■ ■

Transmitting nerve impulses Contracting muscles Stabilizing and optimizing activities of proteins and enzymes Secreting hormones such as insulin Coagulating blood to repair ruptures after injury

WHEN WE DON’T GET ENOUGH CALCIUM When calcium levels in the blood drop below normal, the parathyroid hormone (PTH) stimulates vitamin D, which in turn, increases the calcium absorption from the small intestines.

Vitamin D with PTH also activates the osteoclasts cells to break down bone tissue (called bone resorption), pulling out and releasing minerals like calcium and transferring them into the blood. This takes place when we consume excessive amounts of foods like meat, cheese, eggs, grains, or sugar that acidifies the fluids in cells.

To maintain a normal pH of 7.36, your body needs a significant increase of alkaline calcium to neutralize acid formed from digesting such foods. When blood calcium climbs to normal, the parathyroid glands stop secreting PTH, the bones are no longer robbed of minerals, and the kidneys start excreting any excess calcium in the urine.

WHY WE NEED CALCIUM Consuming dietary calcium helps in maintaining a sufficient level of it in blood so that it won’t be borrowed from your bones. If calcium is below normal, it can imply one of the following:

These deficiencies can lead to a low bone mineral density (BMD), osteoporosis, and bone fractures. DEXA test measures BMD level, whereas the blood test measures blood-calcium level. If it’s low, you can supplement it.

HOW TO INCREASE THE ABSORPTION OF CALCIUM Vitamin D3, at a daily dose of 800-1,400 IU for an adult, raises calcium absorption so that supplemental calcium might not be needed. A healthy and absorbable supplemental calcium formula contains calcium citrate 500-600mg, magnesium citrate (or citrate-malate) 500-600 mg, zinc, boron, and manganese.

Taking vitamin K2-m7, natto-derived, along with calcium lowers bone breakage and stimulates bone building, yet prevents arteries from calcifications. The above would help in normal bone-turnover during the winter, prevent osteoporotic bone loss and fractures in old people, reduce the risk for colorectal cancer in men, and reduce the risk of breast cancer in premenopausal women by 40-50%.

These recommendations are based on the hypothesis that calcium may prevent osteoporosis. Some studies show that calcium increases bone mass and strength. Yet, in all countries where the most calcium is consumed, the hip-fracture rates are the highest. International statistics, based on the analysis of the food people eat in certain countries throughout their lives, shows how often elderly people break their hips.

These rates are not dependent on the percentage of the elderly in a country.

As our body ages, our cells wear out and constantly have to replicate to replace the old ones. The number of times they can be replaced is limited. The faster cells age, the sooner their renewal-capacity will be exhausted. Bone cells age due to the calcium they have to process and the strain they have to sustain, thus, accelerating the renewal of bone cells.

BOTTOM LINE—DON’T LOSE THE CALCIUM YOU HAVE ■ Parathyroid gland’s function is low since our skeleton stores calcium

sufficient to maintain blood-calcium level ■ Vitamin D is deficient ■ Magnesium blood-level is low (which may occur in alcoholics)

To maintain adequate calcium levels, avoid foods high in oxalates, phytates, fibers, tannins, sugar, alcohol, animal protein, purines, phosphorus, sodium, caffeine, and phosphoric acid. Maintaining calcium means not losing it. www.4health.net ww.4h w.

Obe esity y Medicine M d n | 4HEALTH HE L H21

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CAN’T LOSE WEIGHT? YOU MAY NEED MORE SLEEP

During the past 20 years, there has been a dramatic increase in obesity in the United States. More than one-third of U.S. adults (35.7%) and approximately 17% (or 12.5 million) of children and adolescents aged 2–19 years are obese. Another 33% of all adults are in the overweight category.

Though there are a lot of things that can cause weight gain, I find the following four factors often play a crucial role in expanding my patients’ waistlines.

THREE THINGS HAVE CHANGED ABOUT HOW WE EAT Hippocrates, father of medicine, is quoted as saying, “Let food be your medicine, medicine be your food.” Over the past several decades, however, we’ve moved away from this concept, and now see food merely as “calories in, calories out,” which has changed our relationship to what we eat.

Three things happened to the modern diet that now contribute to the high levels of inflammation we currently see in the population at large, leading to increased health problems and disease. Understanding these three fundamental principles forms the foundation for a healthy and long life.

Insulin resistance: Insulin resistance, or metabolic syndrome, affects one in three Americans and leads to excess belly fat. Unlike the subcutaneous fat that is protective, studies have shown that belly fat produces cytokines and other inflammation-causing chemicals that lead to the increased risk of cardiovascular disease, diabetes and other conditions. In fact, waist circumference of over 40 inches in men and 36 inches in women (lower in Asian Populations), is one of the five criteria for metabolic syndrome.

Lack of antioxidants: Before the modern food processing era, our diet used to have more than 50 percent unprocessed and uncooked food items such as colored fruits, vegetables, and other natural ingredients that are high in antioxidants such as polyphenols. Studies have shown that lack of polyphenols leads to increased inflammation in the body. www www.4health.net w..4 w.4hea .4hea 44hea 4h a

Ratio of fats: The ratio of omega-3 to omega-6 fatty acids used to be 1:1, but is now at 1:16, which also increases inflammation.

THE FOURTH FACTOR More recent research has revealed a fourth factor in this list—lack of quality sleep. According to the National Institutes of Health, 50 to 70 million Americans are affected by chronic sleep disorders and intermittent sleep problems. The Centers for Disease Control and Prevention (CDC) adds that sleep insufficiency is linked to motor vehicle crashes, industrial disasters, and occupational errors.

Lack of proper duration and quality of sleep also contributes to insulin resistance, which in turn leads to weight gain. A 2012 study, for example, found that sleep deprivation impaired the ability of fat cells to respond to insulin, the hormone that regulates blood sugar. Unfortunately, this can set in a vicious cycle where sleep problems lead to weight gain and weight gain in turn—particularly if it leads to sleep apnea—can make sleep problems worse!

PHYSICIAN ASSISTED WEIGHT LOSS CAN HELP Reversing the many factors leading to weight gain such as insulin resistance, sleep apnea, lack of proper sleep, stress, nutritional deficiencies, food sensitivities, eating disorders, hormonal imbalances etc., can be very difficult to do on your own. Diet fatigue, discouragement, and the constant ups and downs can deter even the most disciplined person from his or her goals.

A physician familiar with weight loss, sleep disorders and wellness can be the helping hand you need to get back on track with your weight and your health. Realizing the bidirectional relationship between sleep disorders and weight gain, we are able to address these very interrelated fields together so you can lose weight, sleep better, and enjoy a healthier and perhaps even longer life.

If you’re not sure about cost, realize that your insurance might cover these services, thanks to the Affordable Care Act that mandates insurance coverage for obesity. Call Dr. Tumpati’s office at 1(800)W8MD-007 or visit us online at www.w8md.com.

NAME:

PRAB R. TUMPATI, MD CERTIFICATION: Board Certified in Internal Medicine & Sleep Medicine; Board Eligible in Obesity Medicine Fellow of the American Society of Bariatric Physicians

SPECIALTY: Internal Medicine Medicine, Sleep and Obesity Medicine

INSURANCE: Accept All Major Insurance Plans

CONTACT: 2003 Bath Avenue Brooklyn, NY 11214

(888) 283-0399 www.w8md.com

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DOCTORS AND PATIENTS AREN’T TALKING ABOUT WEIGHT WHY YOU NEED YOUR DOCTOR’S HELP, AND HOW TO START THE CONVERSATION ■■■ Colleen M. Storyy You may be one of the lucky ones. You may have a doctor who’s been consistently involved in your overall health, and has helped you to find weight-loss solutions that work for you. He or she is consistently supportive, and has been one of your motivations for getting healthy.

But then again, you may not be so lucky. Maybe your doctor hasn’t talked to you about maintaining a healthy weight. Maybe he or she has offered no potential solutions, and has failed to discuss with you potential weight-loss programs that may put you on the right track.

Though you can always tackle weight loss on your own, having a doctor who is supportive and helpful can sometimes mean the dif-

ference between success and failure. Here’s more on the link between doctors and successful weight loss, and what you might be able to do if you’re not getting the support you need.

SURVEY SHOWS GAPS IN DOCTOR-PATIENT COMMUNICATION According to the Centers for Disease Control and Prevention (CDC), over 35 percent of adults 20 years and older in the U.S. are obese, while nearly 70 percent are overweight or obese. With such staggering statistics, you’d think doctors all over the country would be finding new ways to help their patients to slim down. A recent study, however, reports that this isn’t always the case. www.4health.net ww.4h w.

4HEALTH Investigators from the Obesity Action Coalition (OAC), The Obesity Society (TOS), and the pharmaceutical company Eisai conducted two surveys. The first questioned just over 1,000 adults, and the other just over 500 physicians. Questions concerned the topic of communication between doctors and patients about weight loss.

Results showed the following: â– All physicians said they counsel their overweight and obese pa-

tients about diet and exercise. â– Yet nearly half of overweight and obese patients said they had

never discussed their weight with their doctor. â– Only four in ten patients said they had been told by their doctors

to lose weight. â– Over 90 percent of doctors said they talked to their patients

about body mass index (BMI) and its importance to health.

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WHY TALKING TO YOUR DOCTOR IS A GOOD IDEA This survey reveals that so far, the communication between doctors and their patients, at least about overweight and obesity, is far from ideal. Yet doctors can be very helpful in motivating you to reach your goals. In fact, they’re being urged to do so. The National Heart, Lung, and Blood Institute, as well as the American College of Cardiology and the American Heart Association, have all released guidelines stating that doctors should devise and prescribe plans to help overweight and obese patients lose weight.

Specifically, doctors are advised to calculate patients’ BMIs, measure their waistlines at least once a year, develop a weight-loss plan, recommend surgery for patients with a BMI of 40 or higher, and refer overweight and obese patients with a high risk of cardiovascular problems to a weight-loss program.

Unfortunately, most doctors have not been trained in the diagnosis and treatment of obesity, so many of them feel unprepared.

â– But only 67 percent of patients said they had ever had that discus-

sion with their doctors. â– All physicians said they offered weight loss tools to their over-

weight and obese patients. â– Yet only 37 percent of patients said they thought their doctors

could help them lose weight. â– Of those patients who had talked to their doctors about their

weight, 20 percent said they felt motivated after the discussion, and 41 percent said they felt hopeful. Another 20 percent, however, said they felt guilty after the talk, while 18 percent felt embarrassed.

HOW YOU CAN START CONVERSATION You, as the patient, can help yourself by breaching the subject of weight with your doctor. If you’re embarrassed, remember—this is about your health, and your quality of life. Your doctor is there to provide a service for you, but sometimes it’s up to you to take full advantage of the help he or she can give you. State your feelings, and ask for suggestions. If you don’t find your doctor to be supportive, seek out a second opinion. Finding a doctor that is truly willing to work with you could be the missing link between you and a healthier weight.

NEUROLOGICAL CLINIC DOCTOR DMITRIY GRINSHPUN, MD Chief of Neurology, Director of Stroke Center and Professor WOODHULL MEDICAL CENTER / NEW YORK UNIVERSITY AFFILIATE NEW OFFICE

174 Brighton 11th St., 1st Fl. Brooklyn, NY 11235

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TRADITIONAL AND ALTERNATIVE METHODS OF TREATMENT INCLUDE: ‡ ,QWUDYHQRXV GULSV DQG QHUYH EORFNV ‡ +RPHRSDWKLF WUHDWPHQW ‡ 5HKDELOLWDWLRQ PDVVDJH DQG WUDFWLRQ ‡ (OHFWURWKHUDS\ WKHUPRWKHUDS\ DQG XOWUDVRXQG WUHDWPHQW

WE ACCEPT ALL MAJOR INSURANCE AND PROVIDE TRANSPORTATION www.4health.net w.4hea .4

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DIABETES INCREASES RISK OF CATARACTS, GLAUCOMA, AND BLINDNESS WHAT TO DO TO RETAIN YOUR SIGHT AS YOU AGE ■ ■■ Colleen M. Storyy If you have diabetes, you are at risk for eye problems. The Centers for Disease Control and Prevention (CDC) state that from 1997 to 2011, the number of adults with diagnosed diabetes that reported visual impairment increased from 2.7 million to 4.0 million.

The American Academy of Ophthalmology (AAO) states that diabetes is the leading cause of blindness among adults 20-74 years old.

Cataracts, glaucoma, and diabetic retinopathy are all serious eye diseases that may affect those with diabetes. All of these are linked to blood vessel damage in the eye, caused by

long-term blood sugar issues. Fortunately, you can increase your odds of retaining healthy vision as you age by taking a few precautions.

HOW DOES DIABETES AFFECT THE EYES? Over time, diabetes can affect the eyes in ways that cause vision loss. People with diabetes, for example, are 60 percent more likely to develop cataracts than those without the disease. They also tend to get them at a younger age. For this reason, scientists recommend that diabetes patients report any change in vision to the eye doctor immediately. Cataract surgery is the typical treatment, and has a high success rate.

People with diabetes are also 40 percent more likely to suffer from glaucoma. Risk increases with age, and with duration of the disease, so watching for this one becomes even more important as you get older. Glaucoma occurs when pressure builds up in the eye, which can damage the nerve if left untreated.

Early detection, however, opens the door to eye drops that can help slow the progression of the disease and preserve vision.

Glaucoma can be sneaky, though, and may develop without any noticeable symptoms.

The disease is also called “thief of sight” because it can exist for years without showing any signs of its presence. Often, by the time www.4health.net ww.4h w.

4HEALTH people notice it, the damage has already been done. A simple test at the eye doctor’s office detects it, however, so be sure to get your annual checkups to prevent serious vision problems.

DIABETIC RETINOPATHY The most common diabetic eye disease, diabetic retinopathy is a result of blood vessel damage in the retina. A thin layer of light-sensitive tissue in the back of the eye, the retina is responsible for focusing light rays and sending signals to the brain. Blood sugar problems can damage the blood vessels that nourish the retina, sometimes causing them to leak blood and other fluids that can result in swelling and cloudy vision.

This is another eye disease that can proceed for years without noticeable symptoms. The American Optometric Association recommends regular eye exams, which can detect signs of blood vessel damage in the retina that may indicate the potential for vision problems in the future. Early treatment can preserve vision and delay disease progression.

Laser therapy can help seal leaking blood vessels, and discourage new ones from form-

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ing. Eye medications can also help decrease inflammation.

HOW TO PRESERVE YOUR SIGHT As a diabetic patient, it’s important that you make your eye health a priority. Here are several tips that may help keep your eyes seeing well far into the future.

■ Visit your eye doctor every year for

■

■ ■ ■ ■ ■

■

a thorough annual exam. Tell him or her of any vision changes you’re noticing.

Do everything you can to control your blood sugar. The more you can stabilize it, the less likely it will damage your eyes.

Always take your prescribed medications as directed.

Stick to your healthy diet.

Exercise regularly.

Get regular medical exams.

If you have high blood pressure, work with your doctor to keep it under control.

If you smoke, try to stop.

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REPORT INDICATES RISE IN MENTAL HEALTH PROBLEMS FOR SENIORS LEARN TO RECOGNIZE THE SIGNS ■■■ Colleen M. Storyy Most seniors know that they need to watch out for things like heart disease, cancer, and joint problems. What they may not realize is that their risk for mental health problems also goes up as they age. Adult children may also be surprised to learn that according to a recent report, as many as one in five seniors has a mental health problem or a substance abuse problem.

In fact, researchers are going so far as to call it a looming “crisis,” as often these problems are overlooked and untreated in this age group.

The key is to learn the signs of mental illness and substance abuse, and ask for help and support in getting proper care.

REPORT INDICATES SENIORS AT RISK FOR MENTAL HEALTH ISSUES The report was issued by the Institute of Medicine in the summer of 2012, and estimated that up to eight million Americans 65 years and older—20 percent of the current senior population—have a mental health or substance abuse disorder. The most common issues were depression and dementia. The authors estimated that this number will continue to grow as the number of seniors in the country is expected to nearly double by 2030.

Seniors today are also more likely to use illegal drugs than previous generawww.4health.net w.4hea .4

tions, according to the report. People who grew up with Woodstock and psychedelic drugs have been found to be more likely to continue using illegal drugs into their old age, increasing the risk for mental health issues.

SENIORS MORE AT RISK FOR OVERDOSE Seniors struggling with these issues may be missing out on important treatments. Other health problems can mask mental health issues, allowing these issues to continue without notice. Medications used to treat physical problems can complicate mental health issues, affecting mood and causing other side effects.

Issues like depression can make patients less likely to take their medications as instructed, which can make diseases like diabetes and high blood pressure more difficult to control.

Mental health problems like dementia can also make it difficult for seniors to keep track if they’re taking more than one medication at different times of the day.

Seniors are also more at risk for overdosing on medications or other drugs, as their bodies metabolize them differently. This change can also make substance abuse problems even worse. Meanwhile, it can be difficult to pinpoint what the issue is unless the patient sees someone experienced in mental health issues. According to Dr. Peter Rabins, one

of the authors of the report, the number of people with specialty training in both aging and mental health or substance use issues is extremely small.

Finally, in seniors—more than any other age group—mental health issues and physical health issues typically occur together, requiring more resources, doctor’s visits, and potentially, medications, to properly address the total health of the individual.

WHAT SENIORS AND FAMILIES CAN DO The Institute of Medicine states that the healthcare industry needs more primary care physicians, nurses, physicians’ assistants, and social workers who can recognize the signs of mental health issues in seniors, and provide basic care. But this will require change in how Medicare and Medicaid pay for mental health services, and the implementation of new training programs.

For now, it is up to seniors themselves and their families to watch out for the signs of mental health issues, and to seek out appropriate treatments. Most primary care providers have little training in mental health and substance abuse, so it may be necessary to see a mental health professional to shed more light on what may be going on, and to find treatments that really help improve quality of life.

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WHAT IS ADDICTION? GETTING HELP FOR YOURSELF OR LOVED ONES ■■■ Andreyy Rossin Addiction is a concept that most people don’t really understand. Simply put, it’s a condition in which a person can’t stop taking a drug or consuming alcohol even when she may want to. The urge to use is so strong she can’t control it, even when she knows the substance is causing her harm.

Alcoholism and drug addictions are fatal diseases. They share many features with chronic illnesses, including a tendency to run in families, an onset and course that is influenced by environmental conditions and behaviors, and the ability to respond to appropriate treatment, which may include long-term lifestyle modification.

Addiction cannot, however—no more than cancer or diabetes—be treated with willpower or self-knowledge. Instead, real medical treatment is required.

HOW ADDICTION STARTS The drug abuser will obsess over drinking or using drugs, which gradually wears away at their ability to use logic and control. When he starts using drugs or alcohol, he doesn’t plan to get addicted. He likes how drugs or alcohol makes him feel, but believes he can control how much and how often he takes the drugs or alcohol.

This is the real danger, as drugs change the brain. Users start to need the drug or alcohol to make them feel normal. This is addiction, and it quickly takes over a person’s life.

HOW ADDICTION GROWS As a person becomes addicted, the drug becomes more important than the need to sleep or eat. The obsession to get and use the drug or alcohol can fill

every moment of a person’s life. It replaces all the things the individual used to enjoy, as the brain and body’s need for the drug takes over.

The individual that is addicted will do almost anything to keep consuming the drug of choice. He may lie, steal, or even hurt people to reach his goal. Once the brain changes, the change can last a long time. The individual may experience problems with mood swings and memory loss, and may have trouble thinking and making decisions.

TREATMENT REQUIRES A WILLING PATIENT Addiction is a disease just like diabetes or cancer. Rather than a sign of weakness, it’s a sign of illness. People from all types of backgrounds can struggle with it. It doesn’t discriminate.

The only way to treat addiction is to change the individual’s way of thinking—to change their outlook on life, and their mindset. Often, the individual will play the victim, and refuse to take responsibility. For treatment to succeed, she must be open and willing to change.

Once she has made a commitment to surrender, this change will not take place overnight. It is a long process that requires hard work to change her thought processes. She must work with her sponsor and therapist to start this process. With determination and willingness, she will start to change.

Unfortunately, according to the National Institute on Drug Abuse, over 23 million people aged 12 or older needed treatment for a drug or alcohol problem in 2007, and only 2.4 million actually got it. If you or a loved one needs help for an addiction, contact your local addiction center for help. www.4health.net ww.4h w.

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| Plastic la i Surgery S g y

DEFY YOUR AGE WITH A SIMPLE EYE PROCEDURE EYE-LIFT SURGERY RESULTS IN OVERALL MORE YOUTHFUL APPEARANCE Have you noticed more difficulty seeing things above you, lately? Do traffic lights seem just out of view? Are you suffering headaches because of the strain of trying to see clearly?

NAME:

Roman RAYHAM, MD SPECIALTY: Plastic and Reconstructive Surgeon

CERTIFICATION: Board-certified, American Board Board-certified of Surgery and American Board of Plastic Surgery Surgery.

TRAINING & EDUCATION: SUNY Downstate College of Medicine Medicine, Staten Island University Hospital (Residency), (Residency) Training at Mayo Clinic, Clinic Post-graduate fellowship at New York Eye and Ear Infirmary Infirmary.

MEMBERSHIPS: American Medical Association Association, Medical Society of the State of NY, NY Medical Society of Kings County, County Arnold Society Society, Priestley Society Society.

CONTACT: 1616B Voorhies Ave., Ave Ste. Ste B Brooklyn NY 11235 Brooklyn, 161 Madison Ave Ave. Ste. Ste 11W New York, NY 10016

((877)) 582-0400 www.NYPlasticSurgeryCenter.com g

LANGUAGES: ENGLISH • RUSSIAN

If so, you may be a candidate for an eyelid lift, or “blepharoplasty,” as it’s known medically.

The good news: the procedure will not only help you see better and relieve strain, but will also take years off your appearance!

HEAVY EYELIDS Dr. Rayham of the RR Plastix/New York Plastic Surgery Center says that many times, health insurance will cover an eyelid lift or a brow lift, particularly if it is necessary to open up your field of vision. “If patients have trouble keeping their eyes open,” he says, “or seeing in the upper field of vision, than the surgery becomes medically necessary.”

Sometimes, because of genetics or the natural effects of aging, the skin on the upper eyelids can become heavy and sag down into the eyelashes. In these cases, it can actually push the eyelashes into the eyes, or make it difficult to see without tilting the head back. Vision may tire easily and become blurry toward the end of the day. Due to the strain of trying to see clearly, patients may experience tension headaches, and avoid driving at night.

Eyebrows, as well, can also cause visual obstruction. “A lot of times,” the doctor says, “the weight of the eyebrows can contribute to this problem. Therefore, we sometimes lift the eyebrows and the eyelids at the same time.”

OPENING UP THE EYES During the aging process, wrinkles, lines, and puffiness contribute to a tired or aged appearance. Blepharoplasty (eyelid lift) rejuvenates puffy, sagging, and tired-looking eyes by removing excess fat, skin, and muscle from the upper (and sometimes lower) eyelids. For those experiencing difficulty seeing because of the obstruction, the procedure creates a wider field of vision, a release of the tension on the head and neck, and a reduction in eyestrain—all of which can make the patient feel much better.

On top of that, of course, are the cosmetic benefits. An eyelid or brow lift can take years off one’s appearance, opening up the eyes and providing a crisper, more alert look. It also re-

duces the appearance of wrinkles and “crow’s feet” around the eyes.

ARE YOU A CANDIDATE? If you’re experiencing any of the symptoms mentioned above, or if you simply want to achieve a more youthful look, you may be a candidate for eyelid or eyebrow surgery. The eyelid procedure typically lasts from 30 minutes to an hour, and if you have an eyebrow lift at the same time, both can be performed through the same incision in the natural fold of the eye, preventing visible scarring. Patients who live in New York can typically go home the day of the eyelid procedure.

Within a week, sutures are removed and swelling goes down. Dr. Rayham says most people can return to work with a week to a week-and-a-half, and within 2-3 weeks most signs of the procedure have disappeared. Special medications will be prescribed for the period immediately following the operation, and Dr. Rayham encourages people to refrain from smoking for several weeks before and after surgery.

To make sure you’re ready for the surgery, Dr. Rayham recommends you see an ophthalmologist or optometrist beforehand, to make sure there are no health or vision complications that would complicate the procedure. As to whether or not your insurance will cover expenses, it depends mostly on two criteria: 1) if photographs show that the eyelids are significantly heavy to affect your vision, typically if the skin contacts or almost contacts the eyelashes; and 2) if the eye doctor determines that you have visual field obstruction because of the heavy lid or brow.

FOR MORE INFORMATION To schedule a consultation with Dr. Rayham, call the RR Plastix/New York Plastic Surgery Center. Double Board Certified by the American Board of Plastic Surgery and the American Board of Surgery, Dr. Rayham provides not only eyelid and eyebrow surgery, but also plastic surgery for the face, neck, and entire body.

Call 1-877-582-0400, or visit the website at www.rrplastix.com. www.4health.net ww.4h w..

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NY PLASTIC SURGERY CENTER

AESTHETIC PLASTIC & RECONSTRUCTIVE SURGERY www.NYPlasticSurgeryCenter.com

Advanced clinical and surgical expertise, artistic vision, and exceptional patient care are all at the heart of our practice.

1-877-582-0400 FACE Rhinoplasty Face Lift (Rhytidectomy) Brow Lift Eyelid Surgery (Blepharoplasty) Facial (Chin and Cheek) Implants Ear Surgery (Otoplasty) Torn Earlobes Repair Dermabrasion

MANHATTAN: 161 Madison Ave., Ste. 11W New York, NY 10016

BROOKLYN: 1616B Voorhies Ave., Ste. B Brooklyn, NY 11235

BODY Liposuction Tummy Tuck Belt Lipectomy Arm Lift Thigh Lift Labioplasty

ROMAN RAYHAM M.D. BREAST Breast Augmentation Mastopexy Breast Reduction Gynecomastia

NON-OPERATIVE Chemical Peel Obagi 'blue' Peel Laser Skin Resurfacing Injections

Diplomate of the American Board of Surgery Diplomate of the American Board of Plastic & Reconstructive Surgery.

RR Plastix NY Plastic Surgery Center

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STUDY FINDS WOMEN HAPPY AFTER BREAST REDUCTION SURGERY PHYSICAL AND PSYCHOLOGICAL BENEFITS REPORTED y Merrell ■■■ Lynn

According to the American Society of Plastic Surgeons, over 63,000 women went through breast reduction surgery in 2011.

Also called “reduction mammoplasty,” the procedure is generally performed in women who experience negative physical effects from carrying disproportionally large breasts.

Women may also have psychological reasons for wanting to go through the surgery, with hopes that it may help improve their self-esteem and self-image.

If you’re considering breast reduction, you probably have a lot of questions. Top on your list may be, “Will I feel better after it’s done?”

According to a recent study, you just might.

SURGERY FOUND TO IMPROVE PHYSICAL AND MENTAL WELL BEING Researchers from Ohio State University looked into the outcomes of breast reduction surgery. Previous studies had shown it to be effective at relieving the symptoms of overly large breasts, but were patients really happy with the results?

Scientists looked at data for a total of 49 patients who went through breast reduction surgery with the same surgeon between January of 2008 and May of 2009. Of these, 38 (78 percent) anonymously completed a survey before and/or after the procedure. These were so-called “BREAST-Q” surveys, which are the only ones that meet international and

federal standards for questionnaire development. The surveys asked questions about the health and psychological benefits of the surgery.

Results showed the following: ■ Patients experienced improvements in

■

■ ■ ■ ■

all four areas evaluated—psychosocial, sexual, and physical well-being, as well as satisfaction with the appearance of the breasts.

On a 100-point scale, satisfaction with breast appearance increased from about 20 before surgery to about 80 afterward.

Psychosocial well-being increased from 41 to 84.

Sexual well being increased from 40 to 78.

Physical well being increased from 43 to 81.

Procedure was found to relieve pain in the breast, neck, back, and shoulders.

“In this study,” the authors wrote, “we have shown that breast reduction significantly improves satisfaction with breast appearance and psychosocial, sexual, and physical wellbeing, and that overall patient satisfaction is most strongly correlated with satisfaction in appearance of their breasts.”

SOME RISKS TO THINK ABOUT There are some risks to breast reduction surgery. According to the Mayo Clinic, like

any other surgery, breast reduction may result in bleeding, infection, or an adverse reaction to the anesthesia, but these are rare occurrences. Some other potential risks unique to this procedure may include loss of sensation in the nipples, scarring, difficulty breastfeeding, allergic reactions to the surgical tape, and poor wound healing. You can check with your doctor about these, and determine what might be the best approach for you.

Breastfeeding is one of the main concerns, as any surgery can affect a woman’s ability to produce milk when having children in the future. Your doctor can recommend procedures that can increase your odds of continuing to breast feed successfully, or you may want to wait until you have finished having children to consider the surgery.

AM I A GOOD CANDIDATE? Those who are most likely to be pleased with breast reduction are those who are in good health, and who have realistic expectations. You may be a good candidate if you have overly large breasts, you do not have any life-threatening illnesses, and you don’t smoke. (Smoking can delay healing.) If you regularly experience back, neck, and shoulder pain because of your breasts, or are dissatisfied with their size, you may also be much happier after surgery. www.4health.net ww.4h w.

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LIVING WITH CANCER— CHEMO-FEET HAND AND FOOT SYNDROME, NERVE DAMAGE, AND SKIN PROBLEMS HAND AND FOOT SYNDROME

■■■

Lynn y Merrell

Chemotherapy can cause a number of side effects, but those that affect the feet can be particularly difficult. From hand and foot syndrome to nerve damage to dry, flaky skin, feet can ache and hurt until even just walking or standing become difficult. How are you supposed to go about your day when it hurts just to get up on your feet?

It’s always best to talk to your doctor, as sometimes a change in the drugs he’s giving you may provide some relief. He or she may also have other medications that can ease the pain. But if you’re still suffering, there are some other things you can do.

This condition causes redness, swelling, and pain on the soles of the feet and the palms of the hands. In some cases, the redness gets worse and may turn into blisters.

Feet may feel tender, tight, or overly large, and you may have difficulty walking or using your hands.

What causes hand and foot syndrome? The chemotherapy drugs are thought to leak out of the capillaries in the hands and feet, damaging the tender tissues and causing burnlike results. Though it usually goes away once your treatments stop, you can take some steps to ease the discomfort in the meantime.

Try cooling compresses, avoid exposure to heat, avoid friction (such as that which

occurs when jogging or playing sports), wear shoes that fit and that allow the foot to breathe, and apply moisturizing creams at least once a day (at night), and more often if you can. Taking vitamin B6 supplements may also help. Your doctor may be able to give you topical anesthetics to ease the pain.

NEUROPATHY Chemotherapy drugs may damage the small nerves in your feet. Called “neuropathy,” it often starts out as a tingling or numb feeling, and then progresses to shooting and/or burning pains. This is a common side effect, and may make it more difficult to walk or go about your daily activities. www.4health.net ww.4h w.

4HEALTH Always let your doctor know what’s going on. Neuropathy tends to get worse as time goes by, so don’t wait to speak up. Sometimes, lowering your dose or delaying it can diminish the pain. Again, vitamin B supplements may help, as they are known to protect the nerves. Calcium and magnesium given during chemo may also help prevent the damage—ask your oncologist. Keeping hands and feet in ice during the chemo treatment may also diminish the amount of medication that affects them.

Other treatments that may help include acupuncture (shown in some studies to be effective) and nerve-support formulas made for diabetic patients. If your treatments are over and you’re still suffering, consider seeing a pain specialist.

ing and healing. Avoid long hot showers or baths, as they rob the skin of moisture, and apply thick balms at night. If itching is keeping you up at night, ask your doctor about ointments that relieve itch, or soak your feet in baking soda and water. Crushed oatmeal in your bath will also soothe itching, as may calendula, neem, and nettle essential oils.

Whatever foot issues you encounter as you go through treatment, talk to your doctor. He

or she is likely focused on getting rid of the cancer, so you need to speak up about the side effects. You know your body best, and being in pain will tear down your defenses and leave you more vulnerable to complications. Remember there are other helpful resources— your dietician or nutritionist, massage therapist, psychologist, and other cancer fighters who have experienced the same side effects.

Reach out, and don’t give up!

DRY, FLAKY SKIN Because chemotherapy affects fast-growing cells, it can severely impact skin. The skin on your feet may be thick, but it can become thin with your treatments, cracking and splitting more easily. This can create painful wounds on your feet that affect your ability to walk.

The key is to moisturize more often. Try using aloe at least once a day, as it is very sooth-

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SORE LEGS AND FEET— A SIGN OF SERIOUS HEALTH PROBLEMS? Most of us don’t think much about our legs and feet until they start hurting. When they do, we may try to live with the pain, instead of seeing a doctor about it. Putting off a checkup, however, can have serious health consequences, as sometimes foot and leg problems can hide deeper health issues.

Doctor Yan Katsnelson — a Harvard-trained cardiovascular surgeon, expert in minimally invasive surgery, and founder of the USA Vein Clinics — tells us why it’s so important to see a doctor sooner rather than later when experiencing leg and foot pain.

Research has shown that nearly 50% of the world’s population will eventually be plagued with vein disorders. The symptoms, however, are sometimes difficult to detect during the early stages. What should we watch for?

If your feet feel tired and swollen at the end of the day, or if a tingling sensation bothers you and you see a blue, web-like pattern on your skin, it’s time to see a specialist, as these could be signs of a potential problem. If you wait, the symptoms may become worse, possibly leading to pain, ulcers, and even blood clots.

There’s a tendency to ignore the warning symptoms of vein disease. Why is that dangerous?

Veins are blood vessels that pump blood to the heart. They contain special valves that open to let blood flow in the right direction and close to prevent it from flowing in the wrong direction.

If these valves start malfunctioning — the main symptom of varicose veins — serious complications may follow. In some cases, without treatment, they may lead to the loss of a leg.

What do you say to people who may be frightened of doctors, or the treatments they may recommend?

I would say to the readers and all of our patients — don’t be scared! Due to a new revolutionary procedure implemented a few years ago— Endovenus Laser Treatment (EVLT) —it is practically painless, and the patient can quickly return to his/her regular activities. Treatment typically takes about half an hour if the veins at the beginning stages of the disease — more complicated cases may require several treatments. The day of the procedure, we recommend the patient walk short distances, and in two days, completely resume all physical activities. In three to four days, we check the vein status ultrasonically.

Will medical insurance cover EVLT? Medicare and most medical insurance plans will cover the procedure it if it’s medically necessary.

Why would someone suffering from varicose veins choose USA Vein Clinics?

USA Vein Clinics have facilities in major cities like Boston, Chicago, Los Angeles, and New York. Experience, new techniques, and state-of-the-art equipment helps us provide necessary treatments to patients who’ve been suffering from poor vein circulation and varicose vein.

Our highly professional, knowledgeable and experienced staff uses the latest techniques and the best equipment. Moreover, we know that the health of your legs and feet is critical to enjoying life in its fullest, and we love what we do. If you suspect you could be at risk, give us a call today!

TM

YOU’RE IN TRUSTED HANDS

TM

www.USAVeinClinics.com

SPECIALTY: USA Vein Clinics has eight-of-the-art centers specializing in the treatment of venous disorders disorders. Their expert cardiovascular physicians have cured over 10 10,000 000 patients nationwide nationwide.

INSURANCE: The EVLT treatment is covered by MEDICARE and most INSURANCE PLANS up to 100% 100%.

CONTACT:

(718) 764 764-1687 1687 New York 2511 Ocean Ave., Ave Ste. Ste 102 Brooklyn NY 11229 Brooklyn, 2444 86th Str., Str Ste. Ste A Bensonhurst, NY 11214 116-02 116 02 Queens Blvd Forest Hills, NY 11375 1153 First Avenue, Avenue Manhattan NY 10065 Manhattan, New Jersey 766 Shrewsbury Ave., Ste. 300 Tinton Falls, NJ 07724 Boston 1208 «B» VFW Pkwy., Pkwy Ste. Ste 300 West Roxbury, MA 02132 Chicago 3927 W Belmont Ave Ste 103 Chicago, IL 60618 800 Biesterfield Rd Ste 201 Elk Grove Village, IL 60007 4141 Dundee Road Northbrook, IL 60062

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4HEALTH

39

ANCIENT THERAPY GAINING NEW POPULARITY IN WESTERN MEDICINE ACUPUNCTURE – YOUR QUESTIONS ANSWERED. PART 4

g L.Ac ■■■ Ada Kulagina,

What is 7-Star Needling?

“7-Star,” or plum blossom needling, is a technique similar to gua sha that uses a specially designed needle with seven small tips.

Like acupuncture needles, these are very fine, small needles. This technique is often used with early stage cold symptoms, trauma, and long term pain. The practitioner will use the 7-star needle to lightly tap on the affected area, rather than inserting a single needle into the area. There may be slight bleeding.

Following treatment, you will be advised to keep the area covered and avoid windy conditions for a day or two.

What is Moxibustion? (MOXA) Moxibustion is a heating method of treatment using the Chinese herb mugwort. Moxibustion is used for treating pain, trauma, and certain cold-related injuries or conditions.

www.4health.net w.4hea .4

The mugwort is compressed into a stick that is burned near the body or into small cones that are placed on the body with a protective barrier that prevents burning.

Both these methods introduce heat into the affected area, providing pain relief. There is some limited smoke and odor when using moxibustion. Please advise your practitioner if you have asthma or other respiratory conditions, or if you are sensitive to odors.

What is Cupping?

Cupping is a technique that is most often used for musculoskeletal pain, such as back pain. In this technique, small glass or plastic cups will be placed on the affected area and suction will be created, drawing some of your tissue inside the cup. Your practitioner may apply a thin layer of oil to your skin and may move the cups around the affected area.

There is no bleeding. You may feel a sensation similar to that of being massaged. You may

experience round bruises or bruising over the affected area that may last three to five days.

Following treatment, you will be advised to keep the area covered and avoid windy conditions for a day or two.

Are There Any Reasons Why I Should Not Be Treated with Acupuncture?

While there are no contraindications to receiving acupuncture or other TCM treatment modalities, there may be certain conditions or circumstances that may prevent you from receiving a treatment on a particular day. Some conditions may mean that certain acupuncture points or treatments are cautioned or contraindicated, and your treatment plan will be adjusted accordingly.

If you are pregnant or think you may be pregnant, please notify your acupuncturist immediately. Most acupuncture points are safe to use during pregnancy, but there are a few points that are avoided as a precaution.

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4HEALTH

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ALLERGY & IMMUNOLOGY

Lev BARSKY, MD 728 Oceanview Ave, Ave Ste 1 Brooklyn NY 11235 Brooklyn,

DERMATOLOGY

Dmitry EPELBOYM, DDS th

Nataliya SAFONOVA, DDS

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321 Edison St Staten Island, NY 10306

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321 Edison St Staten Island, Island NY 10306

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332 9th St Brooklyn NY 11215 Brooklyn,

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148 New Dorp Ln Staten Island, Island NY 10306

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4HEALTH NEUROSURGERY

ONCOLOGY

OPTOMETRY

Amit SCHWARTZ, MD

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OBESITY MEDICINE

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158 06 Northern Blvd 158-06 Flushing NY 11358 Flushing,

482 Manor RD Staten Island, NY 10314

(718) 445-3700

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Ideal OPTICAL Prabhakara R. TUMPATI, MD 2003 Bath Ave Brooklyn NY 11214 Brooklyn,

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Paul GLIEDMAN, MD

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7602 5th Ave Brooklyn NY 11209 Brooklyn,

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520 Neptune Ave Brooklyn NY 11224 Brooklyn,

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Vitaly RAYKHMAN, MD 2632 E 14th St Brooklyn NY 11235 Brooklyn, 107-15 107 15 Jamaica Ave Queens NY 11418 Queens,

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OB/GYN - GENERAL

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Michael RISKEVICH, MD Aleksandra ZLOTNIK, OD David SCHWARTZ, MD Hayama BRILL, MD

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(212) 744-0392 OB/GYN - UROGYNECOLOGY

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Leonid VOROBYEV

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4HEALTH ALTERNATIVE MEDICINE - GENERAL

VASCULAR SURGERY

Lev KHITIN, MD 8607 21th Ave Brooklyn NY 11214 Brooklyn, 400 E 56th St, St Ste 1 New York, York NY 10022

LAW

USA VEIN CLINICS

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MULTI SPECIALTY

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MEDICAL SUPPLY

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90 Broad St, St FL15 New York, York NY 10004

PHARMACIES

2029 Bath Ave Brooklyn NY 11214 Brooklyn,

Brooklyn FAMILY HEALTH CARE

(718) 833-8343 (212) 668-8400

Globe SURGICAL SUPPLY Albert GROSS, CNS, NYS, CDN

Gary E. HANNA, ESQ 8212 3rd Ave Brooklyn, NY 11209 Brooklyn

www.usahairclinics.com

Robert RHEE, MD 903 49th St Brooklyn NY 11219 Brooklyn,

(877) 250-4619

Nostrand HOUSES PHARMACY

(888) 418-0442

3031 Ave V Brooklyn NY 11229 Brooklyn,

Khavinson & ASSOCIATES 1601 Gravesend Neck Rd Rd, Ste 903 Brooklyn NY 11229 Brooklyn, th 29 W 17 St New York, York NY 10011 221 W Street Rd Trevose, PA 19053

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AESTHETIC CENTERS

USA VASCULAR CENTERS

Alexander SHIFERSON, MD 903 49th St Brooklyn NY 11219 Brooklyn,

(888) 812-8499

2444 86th St, St Ste A Brooklyn NY 11214 Brooklyn,

Family HEALTH CENTER

Park PLACE PHARMACY

5379 Kings Hwy Brooklyn NY 11203 Brooklyn,

160 Park Pl Brooklyn NY 11217 Brooklyn,

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Victoria KHABINSKI, VKSKIN SPA 162 Brighton 11th St, St Fll 2 Brooklyn NY 11235 Brooklyn,

(646) 200-5937

4HEALTH Magazineâ&#x201E;˘ gathers data from a variety of different sources, public and private. While we strive to provide the most accurate, up-to-date information possible, we can't guarantee that our listings are completely free of errors. If you feel some data is missing or inaccurate, please feel free to contact us at any time. Thank you for your support!

(855) 328-5525

Leon KUCHEROVSKY, ESQ 115 South Corona Ave Valley Stream, Stream NY 11580

(516) 881-7755 www.lkesq.com

(718) 857-4000

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